形脚行走者:他们需要手术吗?
Alice Bonnefoy-Mazure1,2, Marys Revaz1,2, Camille Leroquais3
1Laboratory of Kinesiology, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
PloS one
|September 30, 2025
概括
异常脚行走 (ITW) 患者在手术或保守治疗后表现出改善的步态参数,但无法完全实现健康的儿童步态模式. 这两种治疗方法都会随着时间的推移提高步态质量.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科步态分析 小儿步态分析
- 生物机械工程 生物机械工程
背景情况:
- 异常脚行走 (ITW) 是一种常见的儿科疾病,没有确立的治疗共识.
- 马类形严重影响ITW,需要考虑保守性或手术干预.
研究的目的:
- 为了评估手术和保守治疗的ITW患者的步态参数演变.
- 为了比较治疗ITW患者和无症状儿童的对照组之间的步态参数.
主要方法:
- 对16名手术治疗和13名保守治疗的ITW患者进行了回顾性比较研究 (III级).
- 在治疗前和治疗后的临床步态分析 (CGA) 评估了脚摇,峰值脚力量和被动的背部屈曲.
- 配对和不配对的t测试分析了治疗和对照之间的差异.
主要成果:
- 手术和保守的ITW治疗都显著改善了步态参数.
- 手术组在被动脚背曲方面表现出显著的改善.
- 在治疗后,手术组与保守组相比,表现出更大的被动背和脚力量,尽管两者都保持在无症状水平以下.
结论:
- 在ITW患者的步行质量改善了手术和保守治疗.
- 两种治疗都无法完全恢复健康无症状儿童的步行参数.
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